Passed 26 to 7 in the Senate on August 13, 2014. See Who Voted "Yes" and Who Voted "No".To revise Medicaid accounting to reflect the transition from a 1 percent "health insurance claims tax" to the imposition of the 6 percent "use tax" on Medicaid managed care health care providers (hospitals). These various levies are designed to “game” the federal Medicaid program in ways that result in higher federal payments to Michigan’s medical welfare establishment (including those same hospitals). See Senate Bill 893 and Senate Bill 913.